Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $400.00 / $3,740.00	Facility		$126.20	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $143.41 / $173.31	Professional		$126.20	$143.41	$173.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,968.00 / $2,894.00	Facility		$1,041.00	$1,968.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $164.01 / $219.60	Professional		$134.97	$164.01	$219.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.21 / $173.16 / $208.74	Facility		$142.21	$173.16	$208.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $195.54 / $295.86	Professional		$144.60	$195.54	$295.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $256.52 / $256.52	Facility		$256.52	$256.52	$256.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $178.40 / $333.51	Professional		$133.54	$178.40	$333.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.31	Professional		$32.34	$32.34	$192.31
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $175.12 / $277.26	Professional		$142.34	$175.12	$277.26